{"id":13861,"date":"2026-10-08T10:32:20","date_gmt":"2026-10-08T09:32:20","guid":{"rendered":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/?p=13861"},"modified":"2026-10-08T10:32:21","modified_gmt":"2026-10-08T09:32:21","slug":"patologia-dual-quan-els-problemes-de-salut-mental-i-les-addiccions-conviuen","status":"publish","type":"post","link":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/2026\/10\/patologia-dual-quan-els-problemes-de-salut-mental-i-les-addiccions-conviuen\/","title":{"rendered":"Patologia dual: quan els problemes de salut mental i les addiccions conviuen"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"889\" height=\"500\" src=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png\" alt=\"\" class=\"wp-image-13862\" srcset=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png 889w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web-300x169.png 300w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web-766x431.png 766w\" sizes=\"auto, (max-width: 889px) 100vw, 889px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">La patologia dual \u00e9s l\u2019exist\u00e8ncia simult\u00e0nia d\u2019un problema de salut mental i una o diverses addiccions en una mateixa persona. Per exemple, addiccions a l\u2019alcohol, f\u00e0rmacs o altres subst\u00e0ncies. Lluny de tractar-se de dos problemes independents, tots dos se solen influir m\u00fatuament, dificultant el diagn\u00f2stic, el tractament i la recuperaci\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Per a aprofundir en aquesta realitat parlem amb David Chesa, psiquiatre i coordinador de la Unitat de Patologia Dual de la Fundaci\u00f3 Hospital\u00e0ries Martorell des de 2019, a m\u00e9s de responsable dels Centres d\u2019Atenci\u00f3 i Seguiment a les Addiccions (CASD) del Garraf i de l\u2019Alt Pened\u00e8s.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>La patologia dual \u00e9s una realitat m\u00e9s freq\u00fcent del que solem pensar?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9s una realitat molt m\u00e9s freq\u00fcent del que es sol pensar. Per exemple, entre el 70 i el 80% de les persones amb esquizofr\u00e8nia presenten tamb\u00e9 un trastorn per consum de subst\u00e0ncies. Per aix\u00f2, \u00e9s fonamental abordar tots dos problemes de manera conjunta.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>El consum de substancies pot portar a problemes de salut mental? O al rev\u00e9s?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Totes dues situacions poden oc\u00f3rrer. El consum de subst\u00e0ncies pot desencadenar o agreujar trastorns mentals, i algunes persones utilitzen les drogues o l\u2019alcohol per a intentar alleujar un malestar psicol\u00f2gic previ. Precisament per aquesta estreta relaci\u00f3, \u00e9s un error abordar tots dos problemes per separat. L\u2019experi\u00e8ncia i l\u2019evid\u00e8ncia ens mostren que el tractament ha de ser sempre integral i simultani, atenent conjuntament l\u2019addicci\u00f3 i el trastorn mental.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>A vegades es pensa que primer cal tractar l\u2019addicci\u00f3 i despr\u00e9s el trastorn mental. \u00c9s aix\u00ed?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Avui sabem que no. L\u2019evid\u00e8ncia demostra que els millors resultats s\u2019obtenen quan tots dos problemes s\u2019aborden de manera simult\u00e0nia i integrada, ja que solen influir-se m\u00fatuament i evolucionar de forma interrelacionada.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Quines dificultats troben les persones amb patologia dual en el seu dia a dia? Quin paper juga l\u2019estigma?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Aquestes persones poden experimentar dificultats en les relacions personals, l\u2019\u00e0mbit laboral, l\u2019autonomia o l\u2019adher\u00e8ncia als tractaments. A m\u00e9s, a l\u2019estigma que existeix cap als trastorns mentals s\u2019hi suma l\u2019associat a les addiccions, la qual cosa moltes vegades pot generar a\u00efllament, retrasar la cerca d\u2019ajuda i dificultar l\u2019acc\u00e9s i la continu\u00eftat en els tractaments, empitjorant el pron\u00f2stic.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Quin tipus d\u2019abordatge professional requereix la patologia dual? Quin paper demanen aspectes com la inclusi\u00f3 social, l\u2019ocupaci\u00f3, l\u2019habitatge o la xarxa de suports en la recuperaci\u00f3?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La patologia dual requereix un abordatge multidisciplinari, coordinat i centrat en la persona. La recuperaci\u00f3 va molt m\u00e9s enll\u00e0 del tractament cl\u00ednic: disposar d\u2019un habitatge estable, oportunitats d\u2019ocupaci\u00f3, un entorn de suport i participaci\u00f3 social s\u00f3n factors clau per a aconseguir una millor qualitat de vida.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Quines aven\u00e7os s\u2019han produ\u00eft en els \u00faltims anys en la comprensi\u00f3 i el tractament de la patologia dual?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">En els \u00faltims anys ha augmentat significativament el coneixement sobre la interacci\u00f3 o associaci\u00f3 entre addiccions i trastorns mentals. Aix\u00f2 ha impulsat la revisi\u00f3 dels models assistencials per a fer-los m\u00e9s integrats, amb tractaments m\u00e9s personalitzats i una major coordinaci\u00f3 entre els diferents dispositius d\u2019atenci\u00f3.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Per acabar, com treballem a la Fundaci\u00f3 Hospital\u00e0ries amb persones amb problemes de salut mental i addiccions?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A la Fundaci\u00f3 Hospital\u00e0ries oferim una atenci\u00f3 integral i d\u2019alt nivell d\u2019especialitzaci\u00f3, sempre centrada en la persona. Des d\u2019una visi\u00f3 biopsicosocial, combinem tractament cl\u00ednic, suport psicol\u00f2gic i intervenci\u00f3 social, guiats pels valors d\u2019hospitalitat, humanitat i qualitat professional per a afavorir la recuperaci\u00f3 i la inclusi\u00f3 social.tils, la caseta de recollida de missatges i altres propostes obertes a tota la ciutadania.<\/p>\n\n\n\n<div class=\"wp-block-stackable-image-box stk-block-image-box stk-hover-parent stk-block stk-f537242\" data-block-id=\"f537242\"><div class=\"stk-block-content stk-inner-blocks has-text-align-center stk-row stk-block-image-box__content\">\n<div class=\"wp-block-stackable-image stk-block-image stk-block stk-a21338f\" data-block-id=\"a21338f\"><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-a3c6f40\" data-v=\"4\" data-block-id=\"a3c6f40\"><style>.stk-a3c6f40 {align-items:center !important;display:flex !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-a3c6f40-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-a3c6f40-inner-blocks\">\n<div class=\"wp-block-stackable-subtitle stk-block-subtitle stk-block stk-8d4281f\" data-block-id=\"8d4281f\"><style>.stk-8d4281f {margin-bottom:8px !important;opacity:0 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-8d4281f{opacity:1 !important;}.stk-8d4281f .stk-block-subtitle__text{color:#FFFFFF !important;}<\/style><p class=\"stk-block-subtitle__text stk-subtitle has-text-color has-white-color\">Subtitle for This Block<\/p><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-079e5c2\" id=\"title-for-this-block\" data-block-id=\"079e5c2\"><style>.stk-079e5c2 .stk-block-heading__text{color:#FFFFFF !important;}<\/style><h4 class=\"stk-block-heading__text has-text-color has-white-color\">Title for This Block<\/h4><\/div>\n\n\n\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-89ca8ea\" data-block-id=\"89ca8ea\"><style>.stk-89ca8ea {opacity:0 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-89ca8ea{opacity:1 !important;}.stk-89ca8ea .stk-block-text__text{color:#FFFFFF !important;}<\/style><p class=\"stk-block-text__text has-text-color has-white-color\">Text for This Bloc<\/p><\/div>\n\n\n\n<div class=\"wp-block-stackable-icon stk-block-icon stk-block stk-2f0bfdd\" data-block-id=\"2f0bfdd\"><style>.stk-2f0bfdd {margin-top:56px !important;opacity:0 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-2f0bfdd{opacity:1 !important;}.stk-2f0bfdd .stk--svg-wrapper .stk--inner-svg svg:last-child, .stk-2f0bfdd .stk--svg-wrapper .stk--inner-svg svg:last-child :is(g, path, rect, polygon, ellipse){fill:#FFFFFF !important;}<\/style><span class=\"stk--svg-wrapper\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><linearGradient id=\"linear-gradient-2f0bfdd\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-f-0-bfdd-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-2-f-0-bfdd-color-2)\"><\/stop><\/linearGradient><\/defs><\/svg><svg data-prefix=\"fas\" data-icon=\"arrow-right\" class=\"svg-inline--fa fa-arrow-right fa-w-14\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 448 512\" aria-hidden=\"true\" width=\"32\" height=\"32\"><path fill=\"currentColor\" d=\"M190.5 66.9l22.2-22.2c9.4-9.4 24.6-9.4 33.9 0L441 239c9.4 9.4 9.4 24.6 0 33.9L246.6 467.3c-9.4 9.4-24.6 9.4-33.9 0l-22.2-22.2c-9.5-9.5-9.3-25 .4-34.3L311.4 296H24c-13.3 0-24-10.7-24-24v-32c0-13.3 10.7-24 24-24h287.4L190.9 101.2c-9.8-9.3-10-24.8-.4-34.3z\"><\/path><\/svg><\/div><\/span><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>La patologia dual \u00e9s l\u2019exist\u00e8ncia simult\u00e0nia d\u2019un problema de salut mental i una o diverses addiccions en una mateixa persona. Per exemple, addiccions a l\u2019alcohol, f\u00e0rmacs o altres subst\u00e0ncies. Lluny de tractar-se de dos problemes independents, tots dos se solen influir m\u00fatuament, dificultant el diagn\u00f2stic, el tractament i la recuperaci\u00f3. Per a aprofundir en aquesta [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":13862,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27],"tags":[],"class_list":["post-13861","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualitat"],"blocksy_meta":[],"featured_image_urls_v2":{"full":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png",889,500,false],"thumbnail":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web-150x150.png",150,150,true],"medium":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web-300x169.png",300,169,true],"medium_large":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web-766x431.png",766,431,true],"large":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png",889,500,false],"1536x1536":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png",889,500,false],"2048x2048":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png",889,500,false],"mailpoet_newsletter_max":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2026\/10\/david-chesa-web.png",889,500,false]},"post_excerpt_stackable_v2":"<p>La patologia dual \u00e9s l\u2019exist\u00e8ncia simult\u00e0nia d\u2019un problema de salut mental i una o diverses addiccions en una mateixa persona. Per exemple, addiccions a l\u2019alcohol, f\u00e0rmacs o altres subst\u00e0ncies. Lluny de tractar-se de dos problemes independents, tots dos se solen influir m\u00fatuament, dificultant el diagn\u00f2stic, el tractament i la recuperaci\u00f3. Per a aprofundir en aquesta realitat parlem amb David Chesa, psiquiatre i coordinador de la Unitat de Patologia Dual de la Fundaci\u00f3 Hospital\u00e0ries Martorell des de 2019, a m\u00e9s de responsable dels Centres d\u2019Atenci\u00f3 i Seguiment a les Addiccions (CASD) del Garraf i de l\u2019Alt Pened\u00e8s. La patologia dual \u00e9s&hellip;<\/p>\n","category_list_v2":"<a href=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/category\/actualitat\/\" rel=\"category tag\">ACTUALITAT<\/a>","author_info_v2":{"name":"Martorell_comunicacio","url":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/author\/martorell_comunicacio\/"},"comments_num_v2":"0 comments","_links":{"self":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts\/13861","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/comments?post=13861"}],"version-history":[{"count":1,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts\/13861\/revisions"}],"predecessor-version":[{"id":13863,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts\/13861\/revisions\/13863"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/media\/13862"}],"wp:attachment":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/media?parent=13861"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/categories?post=13861"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/tags?post=13861"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}